Provider Demographics
NPI:1538209416
Name:HOOK, FREDA B (PA)
Entity type:Individual
Prefix:
First Name:FREDA
Middle Name:B
Last Name:HOOK
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:FRAIDY
Other - Middle Name:B
Other - Last Name:HOOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:370 GREENWICH ST
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-3604
Mailing Address - Country:US
Mailing Address - Phone:201-664-0188
Mailing Address - Fax:
Practice Address - Street 1:333 OLD HOOK RD
Practice Address - Street 2:SUITE200
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3200
Practice Address - Country:US
Practice Address - Phone:201-664-0201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005591363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant